Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

23472 — Reconstruct Shoulder Joint

What each payer pays PRINCETON COMMUNITY HOSPITAL ASSN INC (CCN 510046) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$57,326 All-payer median here
$15,780 Cash / self-pay here
18 payer/plan-name variants
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
Blue Cross Blue Shield Traditional $96,727 68.7% 2
Blue Cross Blue Shield Ppo $96,578 68.5% 2
4 Most Zelis Stratose $57,326 0.0% 2
Aetna $57,326 0.0% 12
CareSource $57,326 0.0% 2
Health Plan Of The Upper Ohio Valley $57,326 0.0% 2
Highmark Health $57,326 0.0% 2
MultiPlan $57,326 0.0% 2
Wellpoint West Virginia $57,326 0.0% 2
UnitedHealthcare $38,432 -33.0% 4
The Health Plan of West Virginia, Inc. $38,163 -33.4% 4
UMWA Health and Retirement Funds $37,626 -34.4% 4
Humana $18,822 -67.2% 2
Pa Health & Wellness Medicare Advantage $18,822 -67.2% 2
Highmark BCBS $18,642 -67.5% 2
Peak Health Medicare Advantage $17,925 -68.7% 2
Anthem BCBS of Virginia $17,925 -68.7% 2
Optima Va Medicare Advantage $17,925 -68.7% 2

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.